ArticleBMJ open2019
Obstetric and non-obstetric surgery during pregnancy: A 20-year Danish population-based prevalence study.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Anesthetic-induced neurodevelopmental changes with region-specific responses to propofol in forebrain organoids.Stem cell reports · 2026Article
- Transumbilical laparoendoscopic single-site surgery (TU-LESS) for gynecological diseases during pregnancy: a retrospective study from a single center.BMC pregnancy and childbirth · 2025Observational
- High-Grade Serous Ovarian Cancer during Pregnancy: From Diagnosis to Treatment.Current oncology (Toronto, Ont.) · 2024Review
- Management of an acute intracranial emergency in pregnancy.BMJ case reports · 2024Article
- Prenatal Exposure to General Anesthesia Drug Esketamine Impaired Neurobehavior in Offspring.Cellular and molecular neurobiology · 2023Article
- Case report: Per oral endoscopic myotomy (POEM) during pregnancy.Clinical case reports · 2023Article
- Surgery A survey of patients' perceptions and experiences of intervention for gallstone disease during pregnancy.Heliyon · 2022Article
- Fertility, pregnancy and post partum management after bariatric surgery: a narrative review.The Medical journal of Australia · 2022Review
- Pregnancy Outcomes Following Laparoscopic and Open Surgery in Pelvis during Pregnancy: a Nationwide Population-based Study in Korea.Journal of Korean medical science · 2021Article
- Appendectomy, cholecystectomy and diagnostic laparoscopy conducted before pregnancy and risk of adverse birth outcomes: a nationwide registry-based prevalence study 1996-2015.BMC pregnancy and childbirth · 2020Article
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4 authors.
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Abstract
objectivesPopulation-based studies on use of non-obstetric and obstetric surgical procedures during pregnancy are sparse. Therefore, our objective was to estimate the prevalence of surgery during pregnancy, including potential time trends, overall and by trimester and describe the characteristics of pregnant women undergoing surgery.
designThis study is a large nationwide cohort study.
settingFrom administrative and medical databases, we obtained information about all pregnancies ending in a live birth, a stillbirth or an abortion (spontaneous and induced) in Denmark during 1996-2015. Procedures (excluding caesarean sections) conducted during pregnancy were categorised as a non-obstetric or obstetric surgery and further divided into laparoscopic or non-laparoscopic procedures.
main outcome measureMain outcome measure is prevalence of surgery during pregnancy.
resultsWe included 1 687 176 pregnancies of which 108 502 (6.4%) received 117 424 surgical procedures. The prevalence of non-obstetric surgery was almost stable (1.5% in 1996-1999 to 1.6% in 2012-2015), whereas non-obstetric abdominal or gynaecological laparoscopic procedures increased from 0.5% to 0.8%. For appendectomies, the proportion of laparoscopic surgery increased from 4.2% to 79.2% during the study period. In 49 pregnancies, surgery for internal herniation was conducted in 2012-2015 versus none in 1996-1999. The prevalence of obstetric surgery, excluding invasive diagnostic tests, increased from 0.2% to 0.8%. High multiplicity, smoking, increasing age, body mass index (BMI) and parity were factors associated with a high prevalence of surgery during pregnancy.
conclusionsThe increase in the prevalence of laparoscopic surgery during pregnancy may reflect a decreased restraint concerning conductance of these surgical procedures during pregnancy. The increasing proportion of laparoscopic procedures complies with clinical recommendations, and the prevalence of surgery during pregnancy varied by multiplicity, smoking status, parity, age and BMI.
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